Transverse Cervical Artery Flap - Supraclavicular Flap

Ciudad P.; Kaciulyte J.; Pafitanis G.; Chen H.-C. · Core Techniques in Flap Reconstructive Microsurgery: A Stepwise Guide (2023) · DOI: 10.1007/978-3-031-07678-7_18

Resumen

The supraclavicular region represents a fetching donor site for several flaps for its features and easy-to-hide location, from pedicled fasciocutaneous flaps to free perforator flaps and supraclavicular lymph node flaps. All these flaps are based on the transverse cervical artery (TCA) that can be found in the lateral triangle of the neck. TCA may present anatomical variations to keep in mind. Flap’s pedicle landmarks correspond to neck’s lateral triangle with the clavicle inferiorly, sternocleidomastoid muscle anteriorly, and trapezius muscle posteriorly. With no pre-expansion, flap’s maximum extension is 30 × 10 cm and left side is avoided to prevent injury to thoracic duct. The supraclavicular flaps demand for inevitable learning curve, for the surgeon to know all the pearls and pitfalls associated to them. © Springer Nature Switzerland AG 2023.

Instituciones: Universidad Nacional Federico Villarreal